摘要
心脏手术患者常常合并围术期贫血,与手术出血共同增加输血的发生率及相关风险。贫血和输血均与患者的不良预后及死亡率增加有关。当前临床实践指南普遍推荐实施患者血液管理(patient blood management, PBM)综合策略,通过贫血管理和限制性输血以减少患者围手术期出血和降低输血率并改善患者预后。本文综述近年来成人心脏手术患者贫血管理及输血相关实践的研究进展,以期为未来心脏手术患者围术期血液管理的实践提供依据。
Anemia often occurs in patients undergoing cardiac surgery, which increases the incidence and related risks of blood transfusion together with surgical bleeding.Both anemia and transfusion were associated with poor prognosis and increased mortality.Current practice guidelines generally recommend the implementation of patient blood management(PBM),which relies on anemia management and restrictive transfusion to reduce perioperative blood loss and transfusion rate, and improve the prognosis of patients.This article reviews recent research progress of anemia management and blood transfusion in adult patients undergoing cardiac surgery, in order to provide basis for the practice of PBM in cardiac surgery patients in the future.
作者
程珍珍
姚媛媛
严敏
CHENG Zhenzhen;YAO Yuanyuan;YAN Min(Department of Anesthesiology and Pain Medicine,Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310009,China)
出处
《中国输血杂志》
CAS
2022年第5期582-586,共5页
Chinese Journal of Blood Transfusion
